主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (1): 59-63.doi: 10.3969/j.issn.2095-6606.2021.01.013

• 思路与方法 • 上一篇    下一篇

从心胃相关探讨冠心病心绞痛“阳微阴弦”病机及临床应用*

芦瑞霞1, 朱晓星2, 陈鑫1, 衷敬柏2#   

  1. 1 北京中医药大学 北京 100029;
    2 中国中医科学院西苑医院
  • 收稿日期:2020-04-28 出版日期:2021-01-30 发布日期:2021-02-02
  • 通讯作者: #衷敬柏,男,博士,主任医师、教授,硕士生导师
  • 作者简介:芦瑞霞,女,在读硕士生
  • 基金资助:
    *国家中医药管理局国家中医临床研究基地业务建设科研专项(No.JDZX2015250)

Pathogenesis and clinical application of “weak yang and string yin” in coronary heart disease from the relationship between the heart and stomach*

Lu Ruixia1, Zhu Xiaoxing2, Chen Xin1, Zhong Jingbai2#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029;
    2 Xiyuan Hospital, China Academy of Chinese Medical Sciences
  • Received:2020-04-28 Online:2021-01-30 Published:2021-02-02

摘要: 心胃相关理论是指心和胃生理相关、病机相应、虚实相因。心与胃是火生土的母子关系,胃为五脏之本,亦为心气之本,胃气下降是心火下交于肾的基础,脾胃失调,水谷精微代谢失常所化生的痰、饮、水、湿、瘀等标实病理产物贯穿冠心病心绞痛的全过程。“阳微阴弦”为冠心病心绞痛及胃脘痛的共同病机,可将心胃相关理论应用于冠心病的诊疗,提出补胃气以益心气、降胃气以通心阳、清胃火以降心火之心胃同治三法治疗冠心病,为临床从心胃相关理论治疗冠心病心绞痛提供理论基础及思路。

关键词: 心胃相关, 冠心病心绞痛, 阳微阴弦, 理论探讨

Abstract: The heart-stomach related theory refers to the physiological correlation, the corresponding pathogenesis, and the cause of deficiency and excess between the heart and the stomach. The heart and stomach, just like fire and earth, are the mother-child relationship. The stomach is the base of the five zang-organs as well as the fundamental of the heart qi. Stomach qi descending serves as the basis for heart fire to communicate with the kidneys. If the spleen and stomach are in disorder, phlegm retention, rheum, water, dampness, static blood and other pathological products resulting from abnormal metabolism of water and grains run throughout the whole process of coronary heart disease. “Weak yang and string yin” is the common pathogenesis of coronary heart disease and epigastric pain, and accordingly, the heart-stomach related theory can be applied to the diagnosis and treatment of coronary heart disease. The treatment of coronary heart disease with three methods of replenishing stomach qi to replenish heart qi, lowering stomach qi to relieve heart yang, and clearing stomach fire to reduce heart fire to treat coronary heart disease was put forward, which would provide a theoretical basis and ideas for the clinical management of coronary heart disease from the heart-stomach related theory.

Key words: correlation of the heart and stomach, coronary heart disease, weak yang and string yin, theoretical study

中图分类号: 

  • R256.22